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Virginia rates for HCPCS 43253

Esophagogastroduodenoscopy, flexible, transoral; with transendoscopic ultrasound-guided transmural injection of diagnostic or therapeutic substance(s) (eg, anesthetic, neurolytic agent) or fiducial marker(s) (includes endoscopic ultrasound examination of the esophagus, stomach, and either the duodenum or a surgically altered stomach where the jejunum is examined distal to the anastomosis)

Facilitymedian $562 · 10th–90th $288–$7,5860%10%10th90th$562Professionalmedian $275 · 10th–90th $224–$6030%10%20%10th90th$275$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$371.54 / $4,168.69 / $8,317.64
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,090.30 / $3,981.07 / $4,466.84
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$489.78 / $870.96 / $977.24
Cigna
Facility/Professional
Facility
Modifier
52
Typical Low / Median / Typical High
$354.81 / $354.81 / $354.81
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $269.15 / $537.03
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$407.38 / $602.56 / $602.56
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$257.04 / $331.13 / $537.03
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $346.74 / $1,148.15
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$575.44 / $2,754.23 / $5,370.32